Loading...
Marriage Certificate - Glaser, Teresa M_4/4/2001��c��s �pLi— C� 1513 � .r nea�..a e. n� 541� BwN W M��1 r'<n 1�pyn�� d K.IIJ 1 STATE OF INDIANA APF'LIGAI IUN hGN M GIBSON !C35-7-4-1. Furnl�hlnqlalsoinformallonuoonepO�Y��9�orlicenae. A De�son wh0 knowing�y fumishes lalse intorma6on io a clerk ol the tircuil coutl when Ihe per;on ap0��es br a marriage license under IC 37-i -3 commils a Class D Ieiony. MALE APFLICANT � rf�� H�m1 ��"V� �isy `1� GbolOinn - �YCnN.���� � . �Y-- w�n co-.•• ' � , � w.: ,�0i,.• �!/� . �, �t�" , —9°n� ��FwfM�nla15�tlm. NonManieC OF No.dPre.mfNarnagn_ lu�NnnegeEnoeaBy: OeunO ���o¢e �nnetm�mlO �ne ��:eo1Di11�rp�ilipOY� OBiM1�GC�1ihulf OIM ( ON�Iy� 1. ��yOUM�pN���W����O!l�iCjWq1010E�NUnyunOTi�G• NO Y[1❑ It�nfor�f Yh�Mf1�e�01uE4a�iontttnnmo�M� NoG Yo❑ z erz ro-+,.iaied mme �em.ie.poiK.mciaev wn wcma caw�, �+o T� n❑ ). AIlyWnOw�IMOINeNINMCeolana1C01101KM+0��9t? NO��//CfO L beY�no�vn0aPlin�NmC�01�nV<olicCrupt N04 Te�O 5. L�sllnelullmmefolmyOepeMSn1<�ilpren fi. 41 �vl�mmrol�oWCmpb�ner �I�a<oMq.4albOp�neVarmeOnly� � RevEmctdbNe�I�IEeceautl.io�ble� t Blnndace oi b�nn ISUm or bn�gn coun W l �p� �ull maiEen Nme el �pplK�nl f mol�er �1I �OOpIlO. YM11100pfn! PiRn13 Of�ry� P�s�aerm� ai emner I�� aeauea.:o nne� _ BIMp�aca ol moma IS'ne. or lomqn cavn W l .�,r.RNOKLEJG4E.Yi 1�Pno�leE9e �bl I m.� �Re1.eE vlorma!ron iq4a�.+q a�M)erwf canrtunkaCk OOUStl ma ua �a.mrt, vmvrx�be..m a nr. c� r..e �n� sHn �a �m rnm P.n uuus uos pcomua " •eaeuumcr�r�� el Sk�amre n n0oi¢m� �� f�.� oaie �Q 30 �- 6 i�e apo�e �oolit��l Ma OE�ecl[O lo �lr�:Y'^9 �y atn o� �!��/malion ve aignelure la 1�� �CRe ss�no-.�aaomem esuux onaiqbus oere�a. Pen ol Caun Dale -:a:ea:lmb�u 1 If.en/llivminalme�nbrx�lronQl.en Counryw3ieam 1 ss' '�uva�oo�u�ioni��rveamro.re�� sro.� �� C' ��-r �0�3°Y t��. �aor.a I 5e;acuoea aw^e,m^m�,���tivrm��n�b,ry��J�aryol.m��3� _�,j,�_�� •y� ��� Geri ol �ne G�MCn Circul� Cnun COFSEMT OF v�qENiS. FeqENi, OR GUnRDISN W e. Ne Carenp o14 i1 �OCIkNt nneCy qire <onpn110r V:if R.✓rlipe.11 only or� p�nf.l fipnL f��lf li[�)'��KI� m��! N! CTaenl ol L! O��[� 0��lnl �vMe[CfL�y Sllle a11nU�tN 1 �� ���Y al 1 Hlns� 10 • Mo��er ID • $upuripeE �M t�Om to 0[lon m� Inls — ary al 19_ CInY. ��%� ����o� No. AMHIACit LII:tNSt File COUNTY oa;aot oo���.uo� Female Aoplicant 50> No ❑ Yes ❑ It No, Pdetlical Ezami�acio�o �r Oated t Name ol Fhysician �_� i� FEMALE A7PLICRNT wie o� 9inn PrMau Marila15Uluf' NsrV Marnep C�/OR No. ol �ear LblM.uriaqefMROBY DNI�❑ Ovwt�O 4NiWmOntO Oab O��e ol OiM nnLW Oy: O Binn Untlkale �It�pr,5vecily) I. �reYa^�erNr�Y� t'`olumpunGmlMi No Yaf❑ Il�nsrtrif'yef:��aN��01�m1icn0een�emw�Gi No❑ �l��G }. pe yW rt4bU b Ne m�lplPp4Pn1 cicur Wn SKWq tOU3in� - NO y/) n❑ i ••e yrnr na. uma me innueme ai.n akondk Mnr.v�? No QY n❑ �, 1r�y0YnOwYM�11��InIIY�M�OI�n�20YCENQ) NO Y�l❑ 5. CnnneWnmmoo�myaew�aemcni�ann. 6 (��FWnameel�pp4onrylaNet �. (11 a00p�lE.I�fI ApoD�lr� Palm�f ONy) FesiEfK�elqpl�IlilErt�aflC.fo�11�1) — 9innpl�c� el lal�p (Sl�te or Iwei�n [aunthl 1�1 Full m�qen rum� ol �pyiGnl f mONer J`1��1 �}� W aaopin. iu� eaoo��•e vvmu onry� C[ t NeiiCM[�e1m0111e�1il0�cMf�E.fofitle) _ BlMqau ol mol�er (Sl��e or lo�viqn mun�ry) ♦LSNOWIEDGME4T I e[amxlMa� 1�.>I I IvA rKfireC inlINna�1�MleqMOUp O�nO[rw] COTmuniidf CiHUef I�ela�ese•u�ll)t��nami110p,OnOdIiS�OIL�e1C313i1Cf101111f �ufN�luYX5FID5�dC9v�flY immYna El�K�en[y SYtqIOT!' SignaWrea1400�kam o.,e �-°'�-g'� m•.ow. apouc.m ru. oeiK��^ �=•���r�9 ey mm or.tronn�an ongn,w.. �e m..00.e aC�nm+leEpmenl0tteuseolfNi0ipm0elie15. � CIlrk OI CWM1 Clt! SltleoflMiun� 1 I»eu/tlOrmWll:rttr.lwmation9�"�n Counry ot Gimm 1 �r �odKa��an ia we �� ca•ec�. - _�,�� X�e��1/I ,�.�,�� �- �1- 9� .,.,. �ae,.,. Sumcr���y � �m�mi� a�rol_� �5 �L i Cbrt ol Ne GlCSOn Clrcui� Cqm GONSENT Oi p1PEM5, F1HENi, OR GU�HOI/.N N'1. N� p�n^I] al Nif 10U��Gn1, ��flDy piv<cenNnt lal llllf m��ry�e.11 oNy O1e G�enl fiqnf. s.a:ebCbwEKXnlieN�CamenlalNeaNerpLeatu[oetnary _. $tll[OIInCiiu 1 )] COYn�Y cl � r.mn io. Mol�er 10 • SuOec�ipt0 an0 SwOm �o O�lore me I�if — Eay ol 19— Giv� COMVLETE IF MARRIAGE LICENSE ISSUE� BY ONDER OF COURT. A marriage licanse having been relusea to l�e above nameE parties. t�a County Court. Oy wriiten order issuetl an0 tileC in aui�orizes an0 tlirects t�e issuance o/ a marrieqe license Io the above name0 parties. RETURN OF MARRIAGF. WCENSE A,�'D MARRIACE CERTIFICATE I cer[ifyc.�Iha,f, �Ih�u�e wns filed in, /my office a marriage'lirense is%,a�ued 6y the Cler o( [he Circuit Court of Gi6son County, Indiene, dnted "'� ��CJ�-.� � 94 r authorizing the marnage of `�n� ��' °��� und �.�.a a.. �rn.'�a�,Q, f �rurjh�er� cer 'fy Ihat the folluwing mnrriage certificate was (iled in my oK y�� /J �.� /� �4'U. lLO� ame), c ti v hal on / 9 (date)�jt!�✓a�= ��"�-� — in County; ❑dia . of �ei`� CountY. _-�,��� (s(ete), and � of C �J CaunfY. (afate) a�ere menied by me es thoriz under e marriage license fba[ was issued by the Clerk of Ihe Cimuit Cou�rt/9 fC�ibs � CvunU; I d�i� m��, dated " ' ' g(F�� ��.; iCI'/�� �itA/K__ ±(�N � ��.A1�{Y/tA.0.a4' (officisl des'ig/net3im) Filyd and retorded in accordance with Lhe lews ot the Ste[e ot ludiana m T�'^ ��(de[e). �� �� � � � _' � � � I I � � 1 �,. ---1,